本文關(guān)鍵詞： 不明原因復(fù)發(fā)性流產(chǎn) 證型 體質(zhì) 相關(guān)因素　出處：《成都中醫(yī)藥大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的： 通過調(diào)查研究不明原因復(fù)發(fā)性流產(chǎn)患者的易感體質(zhì)、常見的辨證分型并了解引起不明原因復(fù)發(fā)性流產(chǎn)的相關(guān)因素,以期為本地區(qū)不明原因復(fù)發(fā)性流產(chǎn)患者的臨床治療提供更多科學(xué)依據(jù)。 方法： 遵循流行病學(xué)調(diào)研方法,設(shè)計(jì)統(tǒng)一的調(diào)研表。篩選符合診斷標(biāo)準(zhǔn)和納入標(biāo)準(zhǔn)的有復(fù)發(fā)性流產(chǎn)病史患者共120例為研究組,另選妊娠期間無自然流產(chǎn)史的已育女性60例為對(duì)照組。根據(jù)中醫(yī)診斷標(biāo)準(zhǔn)分為：腎氣不足證、腎陽虧虛證、腎精虧虛證、脾腎兩虛證、氣血虛弱證、血熱證、血瘀證、肝氣郁結(jié)證。運(yùn)用中醫(yī)體質(zhì)分類判定標(biāo)準(zhǔn)進(jìn)行體質(zhì)判定,通過問卷調(diào)查形式收集研究組與對(duì)照組基本資料,比較本地區(qū)復(fù)發(fā)性流產(chǎn)患者的體質(zhì)類型、證型分布規(guī)律、體質(zhì)類型與中醫(yī)證型之間的相關(guān)性,并調(diào)查該病的相關(guān)因素。 結(jié)果： (1)研究組與對(duì)照組之間年齡分布、教育背景、勞動(dòng)性質(zhì)、首次懷孕年齡比較經(jīng)卡方檢驗(yàn),均為P0.05,無統(tǒng)計(jì)學(xué)意義。 (2)120例不明原因復(fù)發(fā)性流產(chǎn)患者自然流產(chǎn)的時(shí)間以7～10孕周為多見,占本次調(diào)查的61%,其中在同一孕周發(fā)生自然流產(chǎn)的有93例,占77.5%。 (3)120例不明原因復(fù)發(fā)性流產(chǎn)患者的體質(zhì)類型分布為：氣虛質(zhì)約占28.34%；氣郁質(zhì)約占20.83%；陽虛質(zhì)約占16.67%。60例對(duì)照組中體質(zhì)類型分布為：平和質(zhì)約占總調(diào)查數(shù)的51.67%,余8種偏頗質(zhì)共占48.33%。 (4)120例不明原因復(fù)發(fā)性流產(chǎn)患者的中醫(yī)證型分布為：腎氣不足證約占26.7%；肝氣郁結(jié)證占22.5%；腎陽虧虛證約占11.66%；脾腎兩虛證占15.00%。 (5)120例不明原因復(fù)發(fā)性流產(chǎn)患者的常見體質(zhì)類型與中醫(yī)證型相關(guān)性經(jīng)卡方檢驗(yàn),P0.05,有統(tǒng)計(jì)學(xué)意義。 (6)本次調(diào)查研究組與對(duì)照組人流方式經(jīng)卡方檢驗(yàn),P0.05,有統(tǒng)計(jì)學(xué)意義；兩組之間常規(guī)人流手術(shù)次數(shù)經(jīng)卡方檢驗(yàn),P0.05,無統(tǒng)計(jì)學(xué)意義；兩組之間靜脈麻醉下行人流術(shù)次數(shù)經(jīng)卡方檢驗(yàn),P0.05,有統(tǒng)計(jì)學(xué)意義。 (7)本次調(diào)查中研究組被動(dòng)吸煙率為93.3%,對(duì)照組被動(dòng)吸煙率為45%,兩組間經(jīng)卡方檢驗(yàn),P0.05,有統(tǒng)計(jì)學(xué)意義。 (8)本次調(diào)查中研究組患者焦慮情況與自然流產(chǎn)次數(shù)經(jīng)卡方檢驗(yàn),P0.05,有統(tǒng)計(jì)學(xué)意義；研究組患者抑郁情況與流產(chǎn)次數(shù)經(jīng)卡方檢驗(yàn),P0.05,有統(tǒng)計(jì)學(xué)意義。 結(jié)論： (1)不明原因早期復(fù)發(fā)性流產(chǎn)患者自然流產(chǎn)最多見于7-10孕周；大部分患者自然流產(chǎn)發(fā)生在同一孕周。 (2)不明原因復(fù)發(fā)性流產(chǎn)患者的體質(zhì)分類以氣虛質(zhì)、氣郁質(zhì)、陽虛質(zhì)為主,上述三種體質(zhì)是復(fù)發(fā)性流產(chǎn)的易感體質(zhì)。 (3)不明原因復(fù)發(fā)性流產(chǎn)患者的證型分布以腎氣不足證、肝氣郁結(jié)證、脾腎兩虛證、腎陽虧虛證為多見。 (4)不明原因復(fù)發(fā)性流產(chǎn)患者的常見體質(zhì)分類與中醫(yī)證型分布關(guān)系較密切,體質(zhì)決定證型分布。 (5)靜脈麻醉下人流術(shù)與復(fù)發(fā)性流產(chǎn)關(guān)系密切。 (6)被動(dòng)吸煙及焦慮、抑郁的精神心理狀態(tài)也與不明原因復(fù)發(fā)性流產(chǎn)關(guān)系密切。
[Abstract]:Objective: By investigating the susceptible constitution of the patients with recurrent abortion of unknown cause, the common syndrome differentiation and the related factors that caused the recurrent abortion of unknown cause were studied. In order to provide more scientific basis for the clinical treatment of recurrent abortion patients with unknown cause. Methods: According to the method of epidemiological investigation, a unified survey table was designed. 120 patients with history of recurrent abortion were selected as the study group who met the diagnostic criteria and included the criteria. In addition, 60 pregnant women with no history of spontaneous abortion were selected as control group. According to the diagnostic criteria of TCM, they were divided into three groups: deficiency of kidney qi, deficiency of kidney yang, deficiency of kidney essence, deficiency of spleen and kidney, deficiency of qi and blood, and blood heat. Blood stasis syndrome, liver qi stagnation syndrome. Using traditional Chinese medicine constitution classification criteria to determine the constitution, through the form of questionnaire survey to collect the basic information between the study group and the control group, and compare the physical types of recurrent abortion patients in this area. The distribution law of syndromes, the correlation between physique type and TCM syndrome type, and the related factors of the disease were investigated. Results: (1) the age distribution, educational background, nature of labor, age of first pregnancy and age of first pregnancy between the study group and the control group were all P0.05, which had no statistical significance. The time of spontaneous abortion in 120 patients with unexplained recurrent abortion was 710 gestational weeks, accounting for 61% of the survey. 93 cases of spontaneous abortion occurred in the same gestational week. 77.5%. The physical types of 120 patients with recurrent abortion of unknown cause were as follows: Qi deficiency accounted for 28.34%; Qi stagnation accounted for 20.83%; Yang deficiency accounted for 16.67.60 cases in the control group, the distribution of constitution type was as follows: mild quality accounted for 51.67 of the total investigation, and the remaining 8 biased qualities accounted for 48.33. The distribution of TCM syndromes in 120 patients with unexplained recurrent abortion was as follows: the deficiency of kidney qi was about 26.7; Syndrome of stagnation of liver-qi accounted for 22.5B; Deficiency of kidney yang is about 11.66. Spleen and kidney deficiency syndrome accounted for 15.00. The correlation between the common physique types and TCM syndromes in 120 patients with recurrent abortion of unknown cause was statistically significant by chi-square test (P0.05). (6) there was significant difference between the study group and the control group by chi-square test (P0.05). There was no significant difference between the two groups in the number of routine abortion operations by chi-square test (P0.05). The times of artificial abortion under intravenous anesthesia between the two groups were statistically significant by chi-square test (P 0.05). In this investigation, the passive smoking rate in the study group was 93.3g and the passive smoking rate in the control group was 455.There was significant difference between the two groups by chi-square test (P0.05). (8) the anxiety of the patients in the study group and the frequency of spontaneous abortion were statistically significant by chi-square test (P0.05). The depression and the number of miscarriages in the study group were statistically significant by chi-square test (P 0.05). Conclusion: (1) spontaneous abortion occurred most frequently in patients with early recurrent abortion of unknown cause between 7 and 10 weeks of gestation, and most of the patients with spontaneous abortion occurred in the same gestational week. (2) the physique classification of recurrent abortion patients with unknown cause is mainly qi deficiency, qi stagnation and yang deficiency. The above three types of constitution are susceptible to recurrent abortion. The syndrome types of recurrent abortion with unknown cause were deficiency of kidney qi, stagnation of liver qi, deficiency of spleen and kidney, deficiency of kidney yang. 4) the common constitution classification of recurrent abortion patients with unknown cause is closely related to the distribution of TCM syndromes, and constitution determines the distribution of syndromes. 5) artificial abortion under intravenous anesthesia is closely related to recurrent abortion. 6) passive smoking, anxiety and depression were also closely related to recurrent abortion with unknown causes.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R714.21

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 杜冀暉;許欣宜;;原因不明復(fù)發(fā)性流產(chǎn)患者蛻膜NK細(xì)胞亞群特征研究[J];國際檢驗(yàn)醫(yī)學(xué)雜志;2012年23期

2 黃穎;徐望明;;Th17細(xì)胞與原因不明復(fù)發(fā)性流產(chǎn)關(guān)系的研究進(jìn)展[J];國際生殖健康/計(jì)劃生育雜志;2012年05期

3 王喜梅;;免疫性不孕癥的診斷與治療[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2007年16期

4 湯月萍;中西醫(yī)結(jié)合治療血型抗體致復(fù)發(fā)性流產(chǎn)[J];中國中醫(yī)藥信息雜志;2003年01期

5 趙瑞華;李光榮治療復(fù)發(fā)性自然流產(chǎn)經(jīng)驗(yàn)[J];中國中醫(yī)藥信息雜志;2005年05期

6 李瑪建,張淑敏;滋腎清熱活血法對(duì)復(fù)發(fā)性流產(chǎn)免疫抗體的影響[J];中國中醫(yī)藥信息雜志;2005年07期

7 黃越;梁淑東;唐翠蘭;;安胎湯聯(lián)合西藥治療復(fù)發(fā)性流產(chǎn)效果觀察[J];現(xiàn)代醫(yī)藥衛(wèi)生;2010年02期

8 沈伶;盧煥霞;胡瑞霞;陳燕珊;;兩種免疫治療方法治療封閉抗體陰性復(fù)發(fā)性流產(chǎn)患者的療效觀察[J];新醫(yī)學(xué);2011年06期

9 梁卓;趙芳芳;;HLA-G與原因不明復(fù)發(fā)性流產(chǎn)的相關(guān)性研究進(jìn)展[J];醫(yī)學(xué)信息(上旬刊);2011年09期

10 曲秀芬;沈文娟;夏麗穎;曲艷;于濤;;習(xí)慣性流產(chǎn)的自身免疫病因及中醫(yī)藥治療進(jìn)展[J];中國婦幼保健;2007年27期

，

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